Individual
DR. STEFAN KOVACEVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
36475 FIVE MILE RD, LIVONIA, MI 48154-1971
(847) 749-5395
Mailing address
515 WARREN RD, GLENVIEW, IL 60025-4676
(847) 749-5395
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101288593
VA
207P00000X
Emergency Medicine Physician
Primary
MD-56342
IA
390200000X
Student in an Organized Health Care Education/Training Program
4351049523
MI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/23/2021
Last updated
03/26/2026
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